Application of a modified <scp>N</scp>eff classification to patients with uncomplicated diverticulitis

Mora, Laura; Serra, S.; Serra‐Aracil, Xavier; Ballesteros, Enrique; Navarro, Salvador

doi:10.1111/codi.12449

Cited by 48 publications

(27 citation statements)

References 28 publications

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“…In 2013 Mora Lopez et al proposed [ 15 ] a modification of the previous Neff classification dividing Neff stage 1 into stage 1 a (localized pneumoperitoneum in the form of air bubbles) and 1 b abscess (<4 cm): Stage 0 Uncomplicated diverticulitis. Diverticula, thickening of the wall, increased density of the pericolic fat Stage 1 Locally complicated diverticulitis Stage 1a Localized pneumoperitoneum in the form of air bubbles Stage 1b Abscess (<4 cm) Stage 2 Complicated diverticulitis with pelvic abscess.…”

Section: Resultsmentioning

confidence: 99%

WSES Guidelines for the management of acute left sided colonic diverticulitis in the emergency setting

et al. 2016

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Acute left sided colonic diverticulitis is one of the most common clinical conditions encountered by surgeons in acute setting. A World Society of Emergency Surgery (WSES) Consensus Conference on acute diverticulitis was held during the 3rd World Congress of the WSES in Jerusalem, Israel, on July 7th, 2015. During this consensus conference the guidelines for the management of acute left sided colonic diverticulitis in the emergency setting were presented and discussed. This document represents the executive summary of the final guidelines approved by the consensus conference.

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Section: Resultsmentioning

confidence: 99%

WSES Guidelines for the management of acute left sided colonic diverticulitis in the emergency setting

et al. 2016

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“…The HS classification (Hansen & Stock, 1999) was used predominantly in Germany while other countries preferred Neff's classification. Siewert (1995), Ambrosetti (2002), and Tursi (2008) suggested simplified classifications while a group from the Netherlands favored a more complex and sophisticated approach (Klarenbeck, 2012) [ 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 ].…”

Section: Classification Of Diverticular Disease - Now and Thenmentioning

confidence: 99%

Diagnosis, Differential Diagnoses, and Classification of Diverticular Disease

Lembcke

2015

Visc Med

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Background: While detailed history, physical examination, and laboratory tests are of great importance when examining a patient with diverticular disease, they are not sufficient to diagnose (or stratify) diverticulitis without cross-sectional imaging (ultrasonography (US), computed tomography (CT)). Methods: Qualified US has diagnostic value equipotent to qualified CT, follows relevant legislation for radiation exposure protection, and is frequently effectual for diagnosis. Furthermore, its unsurpassed resolution allows detailed investigation down to the histological level. Subsequently, US is considered the first choice of imaging in diverticular disease. Vice versa, CT has definite indications in unclear/discrepant situations or insufficient US performance. Results: Endoscopy is not required for the diagnosis of diverticulitis and shall not be performed in the acute attack. Colonoscopy, however, is warranted after healing of acute diverticulitis, prior to elective surgery, and in atypical cases suggesting other diagnoses. Perforation/abscess must be excluded before colonoscopy. Conclusion: Reliable diagnosis is fundamental for surgical, interventional, and conservative treatment of the different presentations of diverticular disease. Not only complications of acute diverticulitis but also a number of differential diagnoses must be considered. For an adequate surgical strategy, correct stratification of complications is mandatory. Subsequently, in the light of currently validated diagnostic techniques, the consensus conference of the German Societies of Gastroenterology (DGVS) and of Visceral Surgery (DGAV) has passed a new classification of diverticulitis displaying the different facets of diverticular disease. This classification addresses different types (not stages) of the condition, and includes symptomatic diverticular disease (SUDD), largely resembling irritable bowel syndrome, as well as diverticular bleeding.

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“…There are multiple other classification systems available for AD which include the American Association for the Surgery of Trauma, modified Neff, Ambrosetti, Kohler, Hansen/Stock, Siewart, Boostrom and the Cleveland Clinic diverticular disease propensity score [ 48 , 49 , 50 , 51 , 52 , 53 , 54 ], but they are in less common usage.…”

Section: Introductionmentioning

confidence: 99%

The Association of Coloproctology of Great Britain and Ireland consensus guidelines in emergency colorectal surgery

et al. 2021

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Aim There is a requirement for an expansive and up to date review of the management of emergency colorectal conditions seen in adults. The primary objective is to provide detailed evidence‐based guidelines for the target audience of general and colorectal surgeons who are responsible for an adult population and who practise in Great Britain and Ireland. Methods Surgeons who are elected members of the Association of Coloproctology of Great Britain and Ireland Emergency Surgery Subcommittee were invited to contribute various sections to the guidelines. They were directed to produce a pathology‐based document using literature searches that were systematic, comprehensible, transparent and reproducible. Levels of evidence were graded. Each author was asked to provide a set of recommendations which were evidence‐based and unambiguous. These recommendations were submitted to the whole guideline group and scored. They were then refined and submitted to a second vote. Only those that achieved >80% consensus at level 5 (strongly agree) or level 4 (agree) after two votes were included in the guidelines. Results All aspects of care (excluding abdominal trauma) for emergency colorectal conditions have been included along with 122 recommendations for management. Conclusion These guidelines provide an up to date and evidence‐based summary of the current surgical knowledge in the management of emergency colorectal conditions and should serve as practical text for clinicians managing colorectal conditions in the emergency setting.

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Application of a modified Neff classification to patients with uncomplicated diverticulitis

Abstract: Our mNeff classification allowed selected patients with AD to be successfully managed in an outpatient programme.

Cited by 48 publications

References 28 publications

WSES Guidelines for the management of acute left sided colonic diverticulitis in the emergency setting

WSES Guidelines for the management of acute left sided colonic diverticulitis in the emergency setting

Diagnosis, Differential Diagnoses, and Classification of Diverticular Disease

The Association of Coloproctology of Great Britain and Ireland consensus guidelines in emergency colorectal surgery

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